Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study
Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study
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DOI：
10.1159/000107560
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发表时间：
2007-01-01
影响因子：
22.8
通讯作者：
Nickel, Marius
中科院分区：
文献类型：
--
作者：
Grepmair, Ludwig;Mitterlehner, Ferdinand;Nickel, Marius
背景：所有治疗师在心理治疗期间都会以某种方式引导他们的注意力。建议采用一种特殊的引导注意力的形式，即“正念”。本研究旨在探讨在培训中促进心理治疗师的正念（PiT）是否以及在多大程度上影响患者的治疗结果。方法：对124例住院患者接受18个PiT治疗9周的疗程和治疗结果进行比较。 PiT 被随机分配到 2 组中的 1 组：(i) 练习禅宗冥想的组 (MED；n = 9) 或 (ii) 未进行冥想的对照组 (noMED；n = 9)。使用一般和差异个体心理治疗的会话问卷 (STEP)、经验和行为变化问卷 (VEV) 以及症状检查表 (STEP) 来检查治疗结果（根据意向治疗原则）。结果：与 noMED 组 (n = 61) 相比，MED 组 (n = 63) 的 PiT 患者在 2 STEP 量表、澄清和解决问题的角度上对个体治疗的评价显着更高。此外，MED 组在 Global 上的症状减轻程度也显着高于 noMED 组。严重程度指数和 8 个 SCL-90-R 量表，包括躯体化、社交接触中的不安全感、强迫症、焦虑、愤怒/敌意、恐惧性焦虑、偏执思维和精神质。结论：这项研究表明，促进 PiT 中的正念可以对患者的治疗过程和治疗结果产生积极影响。版权所有 (c) 2007 S. Karger AG，巴塞尔。
Background: All therapists direct their attention in some manner during psychotherapy. A special form of directing attention, 'mindfulness', is recommended. This study aimed to examine whether, and to what extent, promoting mindfulness in psychotherapists in training ( PiT) influences the treatment results of their patients. Methods: The therapeutic course and treatment results of 124 inpatients, who were treated for 9 weeks by 18 PiTs, were compared. The PiTs were randomly assigned to 1 of 2 groups: ( i) those practicing Zen meditation ( MED; n = 9 or ( ii) control group, which did not perform meditation ( noMED; n = 9). The results of treatment ( according to the intent-to-treat principle) were examined using the Session Questionnaire for General and Differen tial Individual Psychotherapy ( STEP), the Questionnaire of Changes in Experience and Behavior ( VEV) and the Symptom Checklist ( SCL-90-R). Results: Compared to the noMED group ( n = 61), the patients of PiTs from the MED group ( n = 63) had significantly higher evaluations ( according to the intent-to-treat principle) for individual therapy on 2 STEP scales, clarification and problem-solving perspectives. Their evaluations were also significantly higher for the entire therapeutic result on the VEV. Furthermore, the MED group showed greater symptom reduction than the noMED group on the Global Severity Index and 8 SCL-90-R scales, including Somatization, Insecurity in Social Contact, Obsessiveness, Anxiety, Anger/Hostility, Phobic Anxiety, Paranoid Thinking and Psychoticism. Conclusions: This study indicates that promoting mindfulness in PiTs could positively influence the therapeutic course and treatment results in their patients. Copyright (c) 2007 S. Karger AG, Basel.